WorksheetsIntradialytic Hypotension
Total questions: 10
Worksheet time: 10mins
Intradialytic hypotension (IDH) is defined as :
A decrease in MAP by 10mmHg and need interventions.
A decrease in diastolic blood pressure ≥20mmHg, associated with clinical events, and need interventions.
A decrease in systolic blood pressure ≥20mmHg, associated with clinical events, and need interventions.
A decrease in systolic blood pressure ≤20mmHg, symptomatic and need interventions.
A new 2nd shift patient verbalizes that he/she feels hungry during dialysis and asking whether or not he/she can eat. What is your action?
Assess the patient’s vital signs, and signs & symptoms of hypoglycaemia.
Allow the patient to eat light meal only, e.g.: crackers
Advise the patient to avoid eating meals during HD, but can eat pre-HD or post-HD and explain the rationales.
All of the above.
TRUE or FALSE : The use of 1.75 mmol/L calcium dialysate may prevents IDH.
TRUE
FALSE
TRUE or FALSE : The use of dialysate temperature of 37°C prevents IDH.
TRUE
FALSE
TRUE or FALSE : Orthostatic hypotension occurs when the blood vessels do not constrict as you stand up.
TRUE
FALSE
The following are the risk factors of IDH, EXCEPT:
hypoalbuminaemia
anaemia
pregnancy
elderly
The amount of fluid to be removed during HD is set based on the patient's
Dry weight
Pre-HD blood pressure
Body mass index
Previous post-HD weight
What is the FIRST action you should do in the event of intradialytic hypotension?
Reduce Qb
Reduce UF
Tredelenberg's position
Infuse 100mls NaCL 0.9%
The early signs of IDH include the following EXCEPT
Dizziness
Yawning
Seizures
Visual disturbance
TRUE or FALSE : IDH is one of the most common intradialytic complications.
True
False
